@article{JSS4213,
author = {Azeem Tariq Malik and Nikhil Jain and Jeffery Kim and Safdar N. Khan and Elizabeth Yu},
title = {Chronic obstructive pulmonary disease is an independent predictor for 30-day readmissions following 1- to 2-level posterior lumbar fusions},
journal = {Journal of Spine Surgery},
volume = {4},
number = {3},
year = {2018},
keywords = {},
abstract = {Background: Chronic obstructive pulmonary disease (COPD) is a common cause of morbidity and mortality worldwide. Past literature has demonstrated that patients with COPD are at an increased risk of post-operative complications. We assessed the impact of COPD on 30-day outcomes following a 1- to 2-level posterior lumbar fusion (PLF).
Methods: The 2012–2016 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database was queried using current procedural terminology (CPT) codes 22612, 22630 and 22633 to identify patients undergoing PLFs. Only patients undergoing a 1- to 2-level PLF for degenerative spine pathologies were included.
Results: In total, 1,123 (4.8%) of 23,481 patients undergoing an elective PLF had a diagnosis of COPD at the time of the surgery. Following adjusted logistic regression analysis, COPD was significantly associated with a longer length of stay of >3 days [odds ratio (OR), 1.40; 95% confidence interval (CI): 1.32–1.48; P=0.008], shorter total operative time (OR, 0.83; 95% CI: 0.73–0.94; P=0.003), discharge to skilled nursing care or rehabilitation facility (OR, 1.28; 95% CI: 1.09–1.51; P=0.002), pneumonia (OR, 2.53; 95% CI: 1.62–3.97; P},
issn = {2414-4630}, url = {https://jss.amegroups.org/article/view/4213}
}